Individual provider Active NPI

Jenneffer Pulapaka, DPM

  • Foot & Ankle Surgery Podiatrist
  • Deland, FL
National Provider Identifier
1619979457
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3160 Issued in FL
Practice address
844 N Stone St Ste 208
Deland, FL 32720
Phone
(386) 738-3733
Fax
(386) 738-3733
NPI assigned
Aug 11, 2005
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3160 FL Primary

Addresses

Primary practice location

844 N Stone St Ste 208
Deland, FL 32720

Mailing address

844 N Stone St Ste 208
Deland, FL 32720-3208
Phone (386) 738-3733

Other practice location 1

1070 N Stone St
Suite E
Deland, FL 32720-0919
Phone (386) 738-3733

Other identifiers 1

IdentifierTypeStateIssuer
340518400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000256 FL Practitioner - Podiatry 9335100536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

844 N Stone St
Suite 208
Deland, FL 32720-3208
Phone (386) 738-3733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.31 of 100Reported as individual
Quality
93.84
Promoting interoperability
44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue58
Removal of skin lesions14
Removal of nail tissue88
Removal or shaving of skin growth113
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deland Foot and Leg Center, LLC Foot & Ankle Surgery CurrentSince Apr 1, 2005 Accepting new patients

Locations

844 N Stone St
Ste 208
Deland, FL 32720
Phone (386) 738-3733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1619979457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 208",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-738-3733",
            "fax_number": "888-797-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 208",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-738-3733",
            "fax_number": "386-738-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 N Stone St",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327200919",
            "country_code": "US",
            "telephone_number": "386-738-3733",
            "fax_number": "386-378-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULAPAKA",
        "first_name": "JENNEFFER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340518400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.